| Dancing Hawk Counseling, Llc | |
|
118 W Broadway St Altus OK 73521-3816 | |
| (580) 379-4900 | |
| (580) 379-4921 |
| Full Name | Dancing Hawk Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 118 W Broadway St, Altus, Oklahoma |
| Authorized Official Name and Position | Kristina Lynn Mckune (OWNER/ PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5803794900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dancing Hawk Counseling, Llc 512 Quail Run N Altus OK 73521-9723 Ph: (580) 379-4900 | Dancing Hawk Counseling, Llc 118 W Broadway St Altus OK 73521-3816 Ph: (580) 379-4900 |
| NPI Number | 1467966952 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467966952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2729 (Oklahoma) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 129 (Oklahoma) | Secondary |
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